Healthcare Provider Details

I. General information

NPI: 1386572204
Provider Name (Legal Business Name): SHARON A. JONES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 DRYDEN CIR
COCOA FL
32926-2487
US

IV. Provider business mailing address

515 DRYDEN CIR
COCOA FL
32926-2487
US

V. Phone/Fax

Practice location:
  • Phone: 321-223-5513
  • Fax: 321-223-5513
Mailing address:
  • Phone: 321-223-5513
  • Fax: 321-223-5513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHARON JONES
Title or Position: APRN
Credential: JONES
Phone: 321-223-5513